Ryanna Michelle Leasure
Student in an Organized Health Care Education/Training Program in Deerfield, OH. Individual provider (NPI-1).
NPI number1801433552
StatusActive
Last updated in NPPESDec 2, 2019
Details
- NPI
- 1801433552
- Entity type
- Individual (NPI-1)
- Name
- Ryanna Michelle Leasure
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Last updated
- Dec 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
2414 Taft AveDeerfield, OH 44411-9729
Phone 330-931-0715
Mailing address
2414 Taft AveDeerfield, OH 44411-9729
Phone 330-931-0715
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